IndividualActive
Mark Reller, M.D.
NPI 1972548469 · Pediatric Cardiology Physician · Portland, OR
Provider details
- NPI number
- 1972548469
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD13950 (OR)
Practice location
707 Sw Gaines St
Cdrc-P
Portland, OR 97239-2901
Phone: (503) 494-2192
Fax: (503) 494-2824
Mailing address
707 Sw Gaines St
Portland, OR 97239-2901
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2011-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.